Healthcare Provider Details

I. General information

NPI: 1972769669
Provider Name (Legal Business Name): K SCOTT DANOFF DMD, D.ABDSM, D.ASBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 08/18/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4933 LITTLE NECK PKWY
LITTLE NECK NY
11362-1433
US

IV. Provider business mailing address

4933 LITTLE NECK PKWY
LITTLE NECK NY
11362-1433
US

V. Phone/Fax

Practice location:
  • Phone: 718-229-4933
  • Fax:
Mailing address:
  • Phone: 718-229-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number037586
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number037586
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number037586
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number037586
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number037586
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: